<?php echo $header; ?>
<div class="page" id="content">
	<?php if ($error_warning) { ?>
	<div class="warning"><?php echo $error_warning; ?></div>
	<?php } ?>
	<div class="personal_info">
    	Welcome,<span id="userName"><?php echo $this->customer->getLastName() ?></span>
					<a href="index.php?route=account/logout">logout</a>
    </div>
	<table width="100%" border="0" cellspacing="0" cellpadding="0">
	<tr>
		<td>
		<div class="shoppingcart_container">
		  <h1><?php echo $heading_title; ?></h1>
		  <p><?php echo $text_description; ?></p>
		  <form action="<?php echo $action; ?>" method="post" enctype="multipart/form-data">
		    <table class="form">
		      <tr>
			<td><span class="required">*</span> <?php echo $entry_to_name; ?></td>
			<td><input type="text" name="to_name" value="<?php echo $to_name; ?>" />
			  <?php if ($error_to_name) { ?>
			  <span class="error"><?php echo $error_to_name; ?></span>
			  <?php } ?></td>
		      </tr>
		      <tr>
			<td><span class="required">*</span> <?php echo $entry_to_email; ?></td>
			<td><input type="text" name="to_email" value="<?php echo $to_email; ?>" />
			  <?php if ($error_to_email) { ?>
			  <span class="error"><?php echo $error_to_email; ?></span>
			  <?php } ?></td>
		      </tr>
		      <tr>
			<td><span class="required">*</span> <?php echo $entry_from_name; ?></td>
			<td><input type="text" name="from_name" value="<?php echo $from_name; ?>" />
			  <?php if ($error_from_name) { ?>
			  <span class="error"><?php echo $error_from_name; ?></span>
			  <?php } ?></td>
		      </tr>
		      <tr>
			<td><span class="required">*</span> <?php echo $entry_from_email; ?></td>
			<td><input type="text" name="from_email" value="<?php echo $from_email; ?>" />
			  <?php if ($error_from_email) { ?>
			  <span class="error"><?php echo $error_from_email; ?></span>
			  <?php } ?></td>
		      </tr>
		      <tr>
			<td><span class="required">*</span> <?php echo $entry_theme; ?></td>
			<td><?php foreach ($voucher_themes as $voucher_theme) { ?>
			  <?php if ($voucher_theme['voucher_theme_id'] == $voucher_theme_id) { ?>
			  <input type="radio" name="voucher_theme_id" value="<?php echo $voucher_theme['voucher_theme_id']; ?>" id="voucher-<?php echo $voucher_theme['voucher_theme_id']; ?>" checked="checked" />
			  <label for="voucher-<?php echo $voucher_theme['voucher_theme_id']; ?>"><?php echo $voucher_theme['name']; ?></label>
			  <?php } else { ?>
			  <input type="radio" name="voucher_theme_id" value="<?php echo $voucher_theme['voucher_theme_id']; ?>" id="voucher-<?php echo $voucher_theme['voucher_theme_id']; ?>" />
			  <label for="voucher-<?php echo $voucher_theme['voucher_theme_id']; ?>"><?php echo $voucher_theme['name']; ?></label>
			  <?php } ?>
			  <br />
			  <?php } ?>
			  <?php if ($error_theme) { ?>
			  <span class="error"><?php echo $error_theme; ?></span>
			  <?php } ?></td>
		      </tr>
		      <tr>
			<td><?php echo $entry_message; ?></td>
			<td><textarea name="message" cols="40" rows="5"><?php echo $message; ?></textarea></td>
		      </tr>
		      <tr>
			<td><span class="required">*</span> <?php echo $entry_amount; ?></td>
			<td><input type="text" name="amount" value="<?php echo $amount; ?>" size="5" />
			  <?php if ($error_amount) { ?>
			  <span class="error"><?php echo $error_amount; ?></span>
			  <?php } ?></td>
		      </tr>
		    </table>
		    <div class="buttons">
		      <div class="right"><?php echo $text_agree; ?>
			<?php if ($agree) { ?>
			<input type="checkbox" name="agree" value="1" checked="checked" />
			<?php } else { ?>
			<input type="checkbox" name="agree" value="1" />
			<?php } ?>
			<input type="submit" value="<?php echo $button_continue; ?>" class="button" />
		      </div>
		    </div>
		  </form>
		</div>
		</td>
	</tr>
	</table>
</div>
<?php echo $footer; ?>